SEC Form 4 · accession 0001213900-17-010775
Jerrick Media Holdings, Inc. · JMDA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Leonard M Schiller
Director
Period of report
Oct 19, 2017
Accepted (ET)
Oct 20, 2017 · 3:40 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001357671
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant to Purchase Common StockF1 | $0.20 | Oct 19, 2017 | A | 447,037 | A | Oct 19, 2017 | Oct 19, 2022 | Common Stock | 447,307 | 1,214,807 | I |
| 15% Convertible Note convertible into Common StockF1 | $0.20 | Oct 19, 2017 | A | 447,037 | A | Oct 19, 2017 | Oct 19, 2019 | Common Stock | 447,307 | 1,661,844 | I |
Explanation of responses
- F1On October 19, 2017, Jerrick Media Holdings, Inc. (the "Company") entered into a Conversion Agreement (the "Agreement") with Mr. Leonard Schiller whereby various promissory notes issued by the Company in favor of Mr. Schiller, totaling $89,407.36 in unpaid principal and interest (the "Debt Obligation"), were extinguished in favor of the issuance of: (a) a new 15% Secured Convertible Promissory Note (the "New Note") in the same amount of as the Debt Obligation; and (b) warrants to purchase shares of the Company's common stock. The New Note has a maturity date of October 19, 2019 and is convertible into shares of the Company's common stock at $0.20 per share. In connection with the Conversion Agreement, the Company also issued Mr. Schiller warrants to purchase 447,037 shares of the Company's common stock at an exercise price of $0.20 per share.